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    Vascular stasis as in circulatory shock and severe levitra online pharmacy review pulmonary embolism can also precipitate DIC. Table 5 lists the most common disorders associated with DIC. DIC may be triggered by the liberation and entry of procoagulant material into the circulation, which may occur after premature separation of the placenta, in widespread metastatic carcinoma, levitra online pharmacy review or in acute promyelocytic leukemia. Another mechanism potentially triggering DIC is the widespread endothelial damage occurring in endotoxinemia, meningococcal septicemia, or following severe burns or hypothermia.

    456 Table 2 Tests of Hemostasis in Suspected Disseminated Intravascular Coagulation Platelets a Fibrinogen Activated partial thromboplastin time Prothrombin time Thrombin time Fibrinogen/fibrin split products (D-dimer) Fibrin–monomer complex Antithrombin, protein C a Hiller a Important.

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    The ipsilateral eye cannot be abducted because of destruction of the lateral rectus motor neurons, as with levitra online pharmacy review the nerve lesion. This lesion is characterized, on lateral gaze away from the side of the MLF lesion, by the lack of (or reduced) ability to contract the ipsilateral medial rectus muscle and thereby adduct that eye. The nuclear lesion has a second effect. The patient cannot contract the contralateral medial rectus muscle on horizontal gaze and hence cannot gaze in the same direction as the side of the lesion.

    and levitra online pharmacy review it occurs because the lesion also destroys the internuclear neurons that coordinate the lateral and medial rectus muscles , this is called a lateral gaze palsy. A more rostral lesion of the MLF, which spares the lateral rectus motor neurons but damages the axons of P.317 the internuclear neurons, produces internuclear ophthalmoplegia (Figure 12-14, lesion 3. At level of the pons in Figure 10-11B). Here, too, the resting position of the eye may be adducted because of the unopposed action of the medial rectus muscle.

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    The primary auditory cortex lies in the superior temporal gyrus adjacent to the sensory and motor areas. The blue regions correspond to distinct functional cortical areas.

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